Long term effects of different physical activity levels on cardiovascular risk: results of a prospective 17-year follow-up study of middle-aged men

As physical inactivity is one of the four leading risk factors for mortality, it should be intensively treated. Therefore, this one-year follow-up study aimed to evaluate the long-term effects of a preventive app to increase physical activity in German adults under real-life circumstances. Data collection took place from July 2019 to July 2021 and included six online questionnaires. Physical activity was studied as the primary outcome based on MET-minutes per week (metabolic equivalent). Secondary outcomes included health-related quality of life based on a mental (MCS) and physical health component summary score (PCS). At the time of publication, 46/65 participants completed the study (median 52 years, 81.5% women). A significant increase of physical activity was observed in people with a low/moderate baseline activity during the first four months of follow-up (median increase by 490 MET-minutes per week, p < 0.001, r = 0.649). Both MCS (median increase by 2.8, p = 0.006, r = 0.344) and PCS (median increase by 2.6, p < 0.001, r = 0.521) significantly increased during the first two months and the BMI significantly decreased during the first six months after the intervention (median decrease by 0.96 kg/m2, p < 0.001, r = 0.465). Thus, this study provides evidence for the medium-term impact of the app, since the effects decreased over time. However, due to the chosen study design and a sizeable loss to follow-up, the validity of these findings is limited.

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Using a Physical Activity Application to Promote Physical Activity Levels Among Aged People: A Follow-Up Study

Proceedings of the 54th Hawaii International Conference on System Sciences ◽

10.24251/hicss.2021.151 ◽

2021 ◽

Author(s):

Tuomas Kari ◽

Markus Makkonen ◽

Joanna Carlsson ◽

Lauri Frank

Keyword(s):

Physical Activity ◽

Activity Levels ◽

Aged People ◽

Follow Up Study ◽

Physical Activity Levels

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Does Cardiac Rehabilitation After an Acute Cardiac Syndrome Lead to Changes in Physical Activity Habits? Systematic Review

Physical Therapy ◽

10.2522/ptj.20130509 ◽

2015 ◽

Vol 95 (2) ◽

pp. 167-179 ◽

Cited By ~ 31

Author(s):

Nienke ter Hoeve ◽

Bionka M.A. Huisstede ◽

Henk J. Stam ◽

Ron T. van Domburg ◽

Madoka Sunamura ◽

...

Keyword(s):

Physical Activity ◽

Randomized Clinical Trials ◽

Evidence Synthesis ◽

Activity Levels ◽

Long Term Effects ◽

Short Term ◽

Home Based ◽

Best Evidence Synthesis ◽

Physical Activity Levels

BackgroundOptimal physical activity levels have health benefits for patients with acute coronary syndrome (ACS) and are an important goal of cardiac rehabilitation (CR).PurposeThe purpose of this study was to systematically review literature regarding short-term effects (<6 months after completion of CR) and long-term effects (≥6 months after completion) of standard CR on physical activity levels in patients with ACS.Data SourcesPubMed, EMBASE, CINAHL, and PEDro were systematically searched for relevant randomized clinical trials (RCTs) published from 1990 until 2012.Study SelectionRandomized clinical trials investigating CR for patients with ACS reporting physical activity level were reviewed.Data ExtractionTwo reviewers independently selected articles, extracted data, and assessed methodological quality. Results were summarized with a best evidence synthesis. Results were categorized as: (1) center-based/home-based CR versus no intervention, (2) comparison of different durations of CR, and (3) comparison of 2 types of CR.Data SynthesisA total of 26 RCTs were included. Compared with no intervention, there was, at most, conflicting evidence for center-based CR and moderate evidence for home-based CR for short-term effectiveness. Limited evidence and no evidence were found for long-term maintenance for center-based and home-based CR, respectively. When directly compared with center-based CR, moderate evidence showed that home-based CR has better long-term effects. There was no clear evidence that increasing training volume, extending duration of CR, or adding an extra intervention to CR is more effective.LimitationsBecause of the variety of CR interventions in the included RCTs and the variety of outcome measures in the included RCTs, pooling of data was not possible. Therefore, a best evidence synthesis was used.ConclusionsIt would appear that center-based CR is not sufficient to improve and maintain physical activity habits. Home-based programs might be more successful, but the literature on these programs is limited. More research on finding successful interventions to improve activity habits is needed.

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Self-initiated changes in physical activity levels improve cardiometabolic profiles: A longitudinal follow-up study

Nutrition Metabolism and Cardiovascular Diseases ◽

10.1016/j.numecd.2016.10.007 ◽

2017 ◽

Vol 27 (1) ◽

pp. 48-53 ◽

Cited By ~ 5

Author(s):

R.M. Ritti-Dias ◽

G.G. Cucato ◽

W.L. do Prado ◽

R.D.O. Conceição ◽

R.D. Santos ◽

...

Keyword(s):

Physical Activity ◽

Activity Levels ◽

Follow Up Study ◽

Physical Activity Levels

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Long-term effects of participation in a prenatal exercise intervention on body weight, body mass index, and physical activity level: a 6-year follow-up study of a randomized controlled trial

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.1080/14767058.2019.1636028 ◽

2019 ◽

pp. 1-9

Author(s):

Lene A. H. Haakstad ◽

Iselin Kissel ◽

Kari Bø

Keyword(s):

Physical Activity ◽

Exercise Intervention ◽

Controlled Trial ◽

Activity Level ◽

Long Term Effects ◽

Follow Up Study ◽

Randomized Controlled ◽

Prenatal Exercise

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The Impact of Isolation Measures Due to COVID-19 on Energy Intake and Physical Activity Levels in Australian University Students

Nutrients ◽

10.3390/nu12061865 ◽

2020 ◽

Vol 12 (6) ◽

pp. 1865 ◽

Cited By ~ 10

Author(s):

Linda A. Gallo ◽

Tania F. Gallo ◽

Sophia L. Young ◽

Karen M. Moritz ◽

Lisa K. Akison

Keyword(s):

Physical Activity ◽

Energy Intake ◽

Activity Levels ◽

Physical Isolation ◽

Home Based ◽

Physical Activity Levels ◽

Reduced Physical Activity ◽

The Impact

The coronavirus disease 2019 (COVID-19) pandemic resulted in physical isolation measures in many parts of the world. In Australia, nationwide restrictions included staying at home, unless seeking medical care, providing care, purchasing food, undertaking exercise, or attending work in an essential service. All undergraduate university classes transitioned to online, mostly home-based learning. We, therefore, examined the effect of isolation measures during the early phase of the COVID-19 pandemic in Australia (March/April) on diet (24-h recall) and physical activity (Active Australia Survey) patterns in third-year biomedical students. Findings were compared with students enrolled in the same course in the previous two years. In females, but not males, energy intake was ~20% greater during the pandemic, and snacking frequency and energy density of consumed snacks also increased compared with 2018 and 2019. Physical activity was impacted for both sexes during the pandemic with ~30% fewer students achieving “sufficient” levels of activity, defined by at least 150 min over at least five sessions, compared with the previous two years. In a follow-up study six to eight weeks later (14–18% response rate), during gradual easing of nationwide restrictions albeit continued gym closures and online learning, higher energy intake in females and reduced physical activity levels in both sexes persisted. These data demonstrate the health impacts of isolation measures, with the potential to affect long-term diet and activity behaviours.

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